This study aim to compare the effect of intravenous propofol versus intravenous lidocaine on emergence agitation in children undergoing tonsillectomy or adenotonsillectomy under general anesthesia.
Elective tonsillectomy operation
pediaterics between ( 4 : 7 ) years old
ASA I OR II
emergency cases as bleeding tonsills
ASA III OR IV
Parallel
Propofol
DrugIn pediatric tonsillectomy after the end of surgery, patient will recieve 1 mg/kg of propofol iv bolus
Lidocaine %2 ampoule
DrugIn pediatric tonsillectomy after the end of the surgery , patient will recieve 1.5 mg/kg of lidocaine iv bolus
To compare the incidence and severity of emergence agitation (EA) between children receiving propofol and those receiving lidocaine using Pediatric Anesthesia Emergence Delirium (PAED) scale.
Pediatric Anesthesia Emergence Delirium (PAED) scale (range 0-20; higher scores indicate more severe agitation).
To compare the incidence and severity of emergence agitation (EA) between children receiving propofol and those receiving lidocaine using WATCHA scale
Watcha agitation scale (range 0-4; higher scores indicate more severe agitation).
emergence time from anesthesia
peaked PAED scores
Pediatric Anesthesia Emergence Delirium (PAED) scale (range 0-20; higher scores indicate more severe agitation).
extubation time
post-operative pain using FLACC score
The FLACC scale is used to assess postoperative pain in children. It consists of 5 categories (Face, Legs, Activity, Cry, Consolability), each scored 0-2, giving a total score range of 0-10.
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